Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOUNTAINEER BEHAVIORAL HEALTH

NPI: 1780135863 · KEARNEYSVILLE, WV 25430 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 10/24/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HENDRICKS, JASON controls 20+ related entities in our dataset. Read more

$20.46M
Total Medicaid Paid
161,162
Total Claims
34,193
Beneficiaries
23
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHENDRICKS, JASON (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date10/24/2016

Related Entities

Other providers sharing the same authorized official: HENDRICKS, JASON

ProviderCityStateTotal Paid
PYRAMID HEALTH CARE INC. WILKINSBURG PA $128.75M
PYRAMID HEALTHCARE BELLEVILLE PA $87.33M
PYRAMID HEALTHCARE, INC. NEWPORT NEWS VA $40.65M
PYRAMID WALDEN LLC CHARLOTTE HALL MD $27.53M
OCTOBER ROAD INC. ASHEVILLE NC $24.64M
PYRAMID HEALTH CARE INC. DUNCANSVILLE PA $23.92M
PYRAMID WALDEN, LLC JOPPA MD $16.70M
PYRAMID HEALTHCARE INC. ALTOONA PA $14.30M
PYRAMID HEALTHCARE INC. ALTOONA PA $13.25M
PYRAMID HEALTHCARE INC. ALLENTOWN PA $11.01M
OCTOBER ROAD, INC. MARS HILL NC $10.82M
PYRAMID HEALTHCARE INC. EAST STROUDSBURG PA $10.38M
PYRAMID HEALTHCARE INC. LANGHORNE PA $8.62M
PYRMAID HEALTHCARE INC. YORK PA $8.19M
PYRAMID HEALTHCARE INC GIBSONIA PA $8.17M
PYRAMID HEALTHCARE, INC. RADFORD VA $7.68M
PYRAMID WALDEN, LLC CALIFORNIA MD $4.79M
PYRAMID HEALTHCARE INC. QUAKERTOWN PA $4.16M
OCTOBER ROAD, INC. ASHEVILLE NC $3.63M
PYRAMID HEALTHCARE INC. TYRONE PA $3.47M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 272 $15K
2019 1,610 $219K
2020 25,350 $3.39M
2021 36,055 $4.12M
2022 38,712 $4.64M
2023 33,321 $4.43M
2024 25,842 $3.64M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2036 Alcohol and/or other drug treatment program, per diem 72,986 4,588 $15.03M
H0004 Behavioral health counseling and therapy, per 15 minutes 42,842 9,214 $3.69M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,296 6,830 $1.04M
H0031 Mental health assessment, by non-physician 777 663 $133K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,575 1,069 $119K
80306 8,083 3,543 $85K
90837 Psychotherapy, 53 minutes with patient 846 530 $73K
80305 5,902 2,597 $61K
T1017 Targeted case management, each 15 minutes 1,459 1,085 $42K
90853 Group psychotherapy (other than of a multiple-family group) 2,358 737 $32K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,021 550 $32K
99205 Prolong outpt/office vis 285 203 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 269 245 $21K
H0032 Mental health service plan development by non-physician 606 541 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,539 799 $14K
Q3014 Telehealth originating site facility fee 471 371 $12K
90791 Psychiatric diagnostic evaluation 129 121 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 394 247 $9K
90834 Psychotherapy, 45 minutes with patient 144 112 $7K
90792 Psychiatric diagnostic evaluation with medical services 59 58 $7K
H0038 Self-help/peer services, per 15 minutes 40 17 $1K
90832 Psychotherapy, 30 minutes with patient 17 13 $662.74
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 64 60 $98.98